A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction
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A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction. / Guo, Jintao; Giovannini, Marc; Sahai, Anand V.; Saftoiu, Adrian; Dietrich, Christoph F.; Santo, Erwin; Fusaroli, Pietro; Siddiqui, Ali A.; Bhutani, Manoop S.; Teoh, Anthony Yuen Bun; Irisawa, Atsushi; Arias, Brenda Lucia Arturo; Achanta, Chalapathi Rao; Jenssen, Christian; Seo, Dong Wan; Adler, Douglas G.; Kalaitzakis, Evangelos; Artifon, Everson; Itokawa, Fumihide; Poley, Jan Werner; Mishra, Girish; Ho, Khek Yu; Wang, Hsiu Po; Okasha, Hussein Hassan; Lachter, Jesse; Vila, Juan J.; Iglesias-Garcia, Julio; Yamao, Kenji; Yasuda, Kenjiro; Kubota, Kensuke; Palazzo, Laurent; Sabbagh, Luis Carlos; Sharma, Malay; Kida, Mitsuhiro; El-Nady, Mohamed; Nguyen, Nam Q.; Vilmann, Peter; Garg, Pramod Kumar; Rai, Praveer; Mukai, Shuntaro; Carrara, Silvia; Parupudi, Sreeram; Sridhar, Subbaramiah; Lakhtakia, Sundeep; Rana, Surinder S.; Ogura, Takeshi; Baron, Todd H.; Dhir, Vinay; Sun, Siyu.
I: Endoscopic Ultrasound, Bind 7, Nr. 6, 2018, s. 356-365.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - A multi-institution consensus on how to perform EUS-guided biliary drainage for malignant biliary obstruction
AU - Guo, Jintao
AU - Giovannini, Marc
AU - Sahai, Anand V.
AU - Saftoiu, Adrian
AU - Dietrich, Christoph F.
AU - Santo, Erwin
AU - Fusaroli, Pietro
AU - Siddiqui, Ali A.
AU - Bhutani, Manoop S.
AU - Teoh, Anthony Yuen Bun
AU - Irisawa, Atsushi
AU - Arias, Brenda Lucia Arturo
AU - Achanta, Chalapathi Rao
AU - Jenssen, Christian
AU - Seo, Dong Wan
AU - Adler, Douglas G.
AU - Kalaitzakis, Evangelos
AU - Artifon, Everson
AU - Itokawa, Fumihide
AU - Poley, Jan Werner
AU - Mishra, Girish
AU - Ho, Khek Yu
AU - Wang, Hsiu Po
AU - Okasha, Hussein Hassan
AU - Lachter, Jesse
AU - Vila, Juan J.
AU - Iglesias-Garcia, Julio
AU - Yamao, Kenji
AU - Yasuda, Kenjiro
AU - Kubota, Kensuke
AU - Palazzo, Laurent
AU - Sabbagh, Luis Carlos
AU - Sharma, Malay
AU - Kida, Mitsuhiro
AU - El-Nady, Mohamed
AU - Nguyen, Nam Q.
AU - Vilmann, Peter
AU - Garg, Pramod Kumar
AU - Rai, Praveer
AU - Mukai, Shuntaro
AU - Carrara, Silvia
AU - Parupudi, Sreeram
AU - Sridhar, Subbaramiah
AU - Lakhtakia, Sundeep
AU - Rana, Surinder S.
AU - Ogura, Takeshi
AU - Baron, Todd H.
AU - Dhir, Vinay
AU - Sun, Siyu
PY - 2018
Y1 - 2018
N2 - Background and Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed. Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. The survey consisted of 10 questions related to the practice of EUS-BD. Results: Forty-six endoscopists of them completed the survey. The majority of endoscopists felt that EUS-BD could replace percutaneous transhepatic biliary drainage after failure of ERCP. Among all EUS-BD methods, the rendezvous stenting technique should be the first choice. Self-expandable metal stents (SEMSs) were recommended by most endoscopists. For EUS-guided hepaticogastrostomy (HGS), superiority of partially-covered SEMS over fully-covered SEMS was not in agreement. 6-Fr cystotomes were recommended for fistula creation. During the HGS approach, longer SEMS (8 or 10 cm) was recommended. During the choledochoduodenostomy approach, 6-cm SEMS was recommended. During the intrahepatic (IH) approach, the IH segment 3 was recommended. Conclusion: This is the first worldwide survey on the practice of EUS-BD for MBO. There were wide variations in practice, and randomized studies are urgently needed to establish the best approach for the management of this condition.
AB - Background and Objectives: EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant biliary obstruction (MBO). However, there is lack of consensus on how EUS-BD should be performed. Methods: This was a worldwide multi-institutional survey among members of the International Society of EUS conducted in February 2018. The survey consisted of 10 questions related to the practice of EUS-BD. Results: Forty-six endoscopists of them completed the survey. The majority of endoscopists felt that EUS-BD could replace percutaneous transhepatic biliary drainage after failure of ERCP. Among all EUS-BD methods, the rendezvous stenting technique should be the first choice. Self-expandable metal stents (SEMSs) were recommended by most endoscopists. For EUS-guided hepaticogastrostomy (HGS), superiority of partially-covered SEMS over fully-covered SEMS was not in agreement. 6-Fr cystotomes were recommended for fistula creation. During the HGS approach, longer SEMS (8 or 10 cm) was recommended. During the choledochoduodenostomy approach, 6-cm SEMS was recommended. During the intrahepatic (IH) approach, the IH segment 3 was recommended. Conclusion: This is the first worldwide survey on the practice of EUS-BD for MBO. There were wide variations in practice, and randomized studies are urgently needed to establish the best approach for the management of this condition.
KW - Consensus
KW - EUS-guided biliary drainage
KW - Questionnaire survey
U2 - 10.4103/eus.eus_53_18
DO - 10.4103/eus.eus_53_18
M3 - Journal article
C2 - 30531022
AN - SCOPUS:85058474020
VL - 7
SP - 356
EP - 365
JO - Endoscopic Ultrasound
JF - Endoscopic Ultrasound
SN - 2226-7190
IS - 6
ER -
ID: 217658164